Individual provider Active NPI

Ida Manuel Tiongco, M.D.

  • Procedural Dermatology Physician
  • New York, NY
National Provider Identifier
1346393311
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
125323 Issued in NY
Practice address
320 E 65TH St
Ste123
New York, NY 10021-6743
Phone
(212) 988-2634
Fax
(212) 679-8808
NPI assigned
Jan 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 125323 NY Primary

Addresses

Primary practice location

320 E 65TH St
Ste123
New York, NY 10021-6743

Mailing address

320 E 65TH St
Ste123
New York, NY 10021-6743
Phone (212) 988-2634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250609000465 NY Practitioner - Dermatology 1658698139 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PLLCGroup PAC ID 5991947160, 254 clinicians

Practice addresses (Care Compare)

774 Fairmount Ave
Jamestown, NY 14701-2609
Phone (212) 283-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology PLLC CurrentSince Dec 17, 2025 Accepting new patients

Locations

2508 Western Ave
Altamont, NY 12009
Phone (518) 690-0177

774 Fairmount Ave
Jamestown, NY 14701
Phone (716) 338-0668

Interoperability endpoints

  • Direct secure messaging: imt2001@direct.weillcornell.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346393311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E 65TH ST",
            "address_2": "STE123",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100216743",
            "telephone_number": "212-988-2634",
            "fax_number": "212-679-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E 65TH ST",
            "address_2": "STE123",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100216743",
            "telephone_number": "212-988-2634",
            "fax_number": "212-679-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIONGCO",
        "first_name": "IDA",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "125323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.